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Deactivated NPI 1124066022 Deactivated / Inactive NPI Male Practitioner

Timothy J Thieroff , CCP

Perfusionist • Tempe, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Timothy Thieroff has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 03, 2006
NPI Deactivation Date July 21, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Timothy Thieroff, CCP was a registered Perfusionist practicing in Tempe, AZ. Throughout an active medical career spanning 16 years, Timothy Thieroff provided care at the practice location at 5801 S MCCLINTOCK DR until profile deactivation on 2022-07-21.

Practice Location & Contact Primary Location

Practice Address

5801 S Mcclintock Dr
#110

Tempe, AZ 852836002

Telephone 4807770900
Fax 4807771345
Associated Practice Facility / Clinic
🏢 Perfusion Associates, Inc. Facility NPI 1497757199

Specialty Benchmarks & Practice Insights

Comparative analytics for Perfusionist in Tempe, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Tempe, AZ (100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Perfusionist Primary Specialty

NUCC Taxonomy Code: 242T00000X

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013022177
Lauren Nicholson

Perfusionist

NPI 1013545003
Billie Jo Chamberlain

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1033726112
Dale Wooten , CCP

Perfusionist

NPI 1043595465
NPI 1043602444
NPI 1053130930

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 21, 2022

Record deactivated on July 21, 2022

NPI Profile Active August 18, 2009

NPI status registered as active in NPPES database

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Updated Practice Location August 18, 2009

Registered at 5801 S MCCLINTOCK DR, #110, TEMPE, AZ 852836002 (Tel: 4807770900)

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Updated Business Mailing Address August 18, 2009

Registered at PO BOX 27588, TEMPE, AZ 852857588 (Tel: 4807770900)

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Provider Name / Credentials Updated August 18, 2009

Recorded as TIMOTHY THIEROFF, C.C.P.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2009

Perfusionist

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Initial NPI Registration & Enumeration June 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124066022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2006
Last Update: August 18, 2009
Deactivation Date: July 21, 2022

Mailing Address

Po Box 27588

Tempe, AZ 852857588

Phone: 4807770900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.